Virginia's Certificate of Public Need Program

Virginia Public Demand Program Certificate In the early 1970s concerns were raised concerning the cost of Medicaid and Medicare. In 1972, the Social Security Act started to enact regulations to try to manage these expenses. In 1974, the National Health Plan and the Resource Development Law were adopted. The law requires the state to use the Public Demand Certificate (COPN) program as a condition for obtaining federal medical costs. The premise of the federal COPN requirement is to provide an orderly health system plan to meet the "demand" of a particular population and limit the over-construction of facilities.

In 1978, the federal government demanded the implementation of the Cardiac Therapy Needs (CON) program in all states. This means that the hospital must apply before obtaining the program and obtain a certificate. It is recognized that these certificates can be used to increase costs by weakening competition. After federal requirements expired in 1986, many states canceled the CON program, but some states still have these plans. Empirical studies focusing on expenses in areas where these plans were discontinued had no significant impact on costs and the CON plan reduced expenses by reducing facilities or reducing competition and increasing costs Bring.

The certificate program is a more feasible and extensible way for ongoing student education. Recently, a large public university in the northeast tried an arbitrary certificate program in onlookers' education. Students of the program participated in skill development exercises on how to finish an interactive discussion-based workshop and identify and intervene potentially harmful situations. The form of the program is currently evaluated by the Centers for Disease Control and Prevention.